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OMB Control No: 1625-0121	ICR Reference No: 202605-1625-001
Status: Received in OIRA	Previous ICR Reference No: 201808-1625-005
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/09/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	9,000	0
Time Burden (Hours)	9,000	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,000	625	3,375	5,000
Annual Time Burden (Hours)	9,000	-3,281	3,281	9,000
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revisions were made to update the cost of reviewing data. Minimal changes to wording were made to the forms since the last iteration.

Annual Cost to Federal Government: $46,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Nicolle Bogden 860 701-6395 nicolle.n.bogden@uscg.mil

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